Thoughout the world the number of refugees and asylum seekers continues to increase at an astonishing rate. Given that most will have left their country due to persecution, war, or appalling violations of their human rights, many will have specific mental health needs. Cultural and socioeconomic factors play a major role in expressions of distress, help seeking, pathways into care, and acceptance or rejection of treatments. Being a refugee or asylum seeker raises questions about an individual's self respect and altered identity. Too often though, the needs of this population are ignored by policy makers and clinicians, and these people are left to fend for themselves.
Mental Health of Refugees and Asylum Seekers presents both the theoretical and practical aspects of the mental health needs of refugees and asylum seekers. It looks at the impact of migration on mental health and adjustment, collective trauma, individual identity, and diagnostic fallacies. A practical section highlights cultural factors, ethnopsychopharmacology, therapeutic interaction, therapeutic expectation and psychotherapy. The final part of the book focuses on special problems - such as bereavement, sexual violence, and post traumatic stress disorders, as well as considering mental health problems in special groups, such as child refugees.
This book will be an essential resource for all mental health professionals- helping them better understand the needs of refugees and asylum seekers, how their problems can be managed, and how they can best be helped.

Can moral vision influence the dynamics of the world system? This inquiry into the evolving foreign aid policies of eighteen developed democracies challenges conventional international relations theory and offers a broad framework of testable hypotheses about the ways ethical commitments can help structure global politics. For forty years development assistance has been the largest and steadiest net financial flow to the Third World, far ex- ceeding investment by multinational corporations. Yet fifty years ago aid was unheard of. Investigating this sudden and widespread innovation in the postwar political economy, David Lumsdaine marshals a wealth of historical and statistical evidence to show that aid was based less on donor economic and political interests than on humanitarian convictions and the belief that peace and prosperity could be sustained only within a just international order.

Lumsdaine finds the developed countries adhered to rules that, increasingly, favored the neediest aid recipients and reduced their own leverage. Furthermore, the donors most concerned about domestic poverty also gave more foreign aid: the U.S. aid effort was weaker than that of other donors. Many lines of evidence--how aid changed over time, which donors contributed heavily, where the money was spent, who supported aid efforts--converge to show how humanitarian concerns shaped aid. Seeking to bridge the gap between normative theory and empirical analysis, Lumsdaine's broad comparative study suggests that renewed moral vision is a prerequisite to devising workable institutions for a post-cold war world.

After the Second World War the Irish state maintained the high industrial tariffs of the 1930s, despite the inefficiency of its protected industries. Such inefficiency fed into the crisis of economic stagnation and mass emigration that engulfed the Republic in the 1950s. As EEC entry became the state's goal, adapting and upgrading Irish industries for free trade conditions loomed large in the 1960s. These ends were pursued through technical assistance schemes and a productivity drive - innovations introduced to the Irish state by the US Marshall Plan. This book looks at this neglected aspect of post-war Irish history and analyzes the social, political, and economic effects of the policies pursued.

This is the first comprehensive study of the turbulent relationship among state, society, and church in the making of the modern German welfare system during the Weimar Republic. Young-Sun Hong examines the competing conceptions of poverty, citizenship, family, and authority held by the state bureaucracy, socialists, bourgeois feminists, and the major religious and humanitarian welfare organizations. She shows how these conceptions reflected and generated bitter conflict in German society. And she argues that this conflict undermined parliamentary government within the welfare sector in a way that paralleled the crisis of the entire Weimar political system and created a situation in which the Nazi critique of republican "welfare" could acquire broad political resonance. The book begins by tracing the transformation of Germany's traditional, disciplinary poor-relief programs into a modern, bureaucratized and professionalized social welfare system. It then shows how, in the second half of the republic, attempts by both public and voluntary welfare organizations to reduce social insecurity by rationalizing working-class family life and reproduction alienated welfare reformers and recipients alike from both the welfare system and the Republic itself. Hong concludes that, in the welfare sector, the most direct continuity between the republican welfare system and the social policies of Nazi Germany is to be found not in the pathologies of progressive social engineering, but rather in the rejection of the moral and political foundations of the republican welfare system by eugenic welfare reformers and their Nazi supporters. Originally published in 1998. The Princeton Legacy Library uses the latest print-on-demand technology to again make available previously out-of-print books from the distinguished backlist of Princeton University Press. These editions preserve the original texts of these important books while presenting them in durable paperback and hardcover editions. The goal of the Princeton Legacy Library is to vastly increase access to the rich scholarly heritage found in the thousands of books published by Princeton University Press since its founding in 1905.

As government officials and political activists are becoming increasingly aware, international nonprofit agencies have an important political dimension: although not self-serving, these private voluntary organizations (PVOs) and nongovernmental organizations (NGOs) seek social changes of which many of their financial contributors are unaware. As PVOs and NGOs receive increasing subsidies from their home governments in the United States, Canada, and Europe, they are moving away from short-term relief commitments in developing countries and toward longer-term goals in health, education, training, and small-scale production. Showing that European and Canadian NGOs focus more on political change as part of new development efforts than do their U.S. counterparts, Brian Smith presents the first major comparative study of the political aspect of PVOs and NGOs. Smith emphasizes the paradoxes in the private-aid system, both in the societies that send aid and in those that receive it. Pointing out that international nonprofit agencies are in some instances openly critical of nation-state interests, he asks how these agencies can function in a foreign-aid network intended as a support for those same interests. He concludes that compromises throughout the private-aid networkand some secrecymake it possible for institutions with different agendas to work together. In the future, however, serious conflicts may develop with donors and nation states. Originally published in 1990. The Princeton Legacy Library uses the latest print-on-demand technology to again make available previously out-of-print books from the distinguished backlist of Princeton University Press. These editions preserve the original texts of these important books while presenting them in durable paperback and hardcover editions. The goal of the Princeton Legacy Library is to vastly increase access to the rich scholarly heritage found in the thousands of books published by Princeton University Press since its founding in 1905.

In Europe after World War II, U.S. economic aid helped to ensure economic revival, political stability, and democracy. In the Third World, however, aid has been associated with very different tendencies: uneven political development, violence, political instability, and authoritarian rule in most countries. Despite these differing patterns of political change in Europe and the Third World, however, American conceptions of political development have remained largely constant: democracy, stability, anti-communism. Why did the objectives and theories of U.S. aid officials and social scientists remain largely the same in the face of such negative results and despite the seeming inappropriateness of their ideas in the Third World context? Robert Packenham believes that the thinking of both officials and social scientists was profoundly influenced by the "Liberal Tradition" and its view of the American historical experience. Thus, he finds that U.S. opposition to revolution in the Third World steins not only from perceptions of security needs but also from the very conceptions of development that arc held by Americans. American pessimism about the consequences of revolution is intimately related to American optimism about the political effects of economic growth. In his final chapter the author offers some suggestions for a future policy. Originally published in 1973. The Princeton Legacy Library uses the latest print-on-demand technology to again make available previously out-of-print books from the distinguished backlist of Princeton University Press. These editions preserve the original texts of these important books while presenting them in durable paperback and hardcover editions. The goal of the Princeton Legacy Library is to vastly increase access to the rich scholarly heritage found in the thousands of books published by Princeton University Press since its founding in 1905.

In more than one hundred developing countries, international organizations continuously offer practical assistance for economic advancement and social change--assistance that in some cases forms a substantial part of national programs. This book examines international aid in three countries-Malawi, Tanzania, and Zambia--in order to ascertain how assisting organizations exert influence on member governments. Professor Gordenker draws on interviews, information usually inaccessible to observers, and his own direct field observation of programs established by the United Nations' system of organizations in the three countries during the late 1960s, immediately after their independence from British administration. This period witnessed sharp changes in national development policies and the political turmoil produced by the Rhodesian revolt. The author analyzes in detail the creation, bureaucratic consideration, and execution of important projects. His conclusions cast doubt on the existence of a reliable process by which international organizations may influence national governments, and he explains why such doubt is well-founded. Originally published in 1976. The Princeton Legacy Library uses the latest print-on-demand technology to again make available previously out-of-print books from the distinguished backlist of Princeton University Press. These editions preserve the original texts of these important books while presenting them in durable paperback and hardcover editions. The goal of the Princeton Legacy Library is to vastly increase access to the rich scholarly heritage found in the thousands of books published by Princeton University Press since its founding in 1905.

How should the international community react when a government transgresses humanitarian norms and violates the human rights of its own nationals? And where does the responsibility lie to protect people from such acts of violation? In this profound study, Fabian Klose unites a team of leading scholars to investigate some of the most complex and controversial debates regarding the legitimacy of protecting humanitarian norms and universal human rights by non-violent and violent means. Charting the development of humanitarian intervention from its origins in the nineteenth century through to the present day, the book surveys the philosophical and legal rationales of enforcing humanitarian norms by military means, and how attitudes to military intervention on humanitarian grounds have changed over the course of three centuries. Drawing from a wide range of disciplines, the authors lend a fresh perspective to contemporary dilemmas using case studies from Europe, the United States, Africa and Asia.

This book documents and analyses the involvement of Norway in the liberation struggle in Southern Africa. Apart from focussing on the formulation of official policies and the extensive cooperation with the liberation movements in the field of humanitarian assistance, mainly based on the Ministry of Foreign Affairs records, the study highlights the popular involvement and commitment to the struggle. Separate chapters are concerned with the churches, trade unions and solidarity movements, such as the Norwegian Council for Southern Africa and the Namibia Committee. The book also includes a case study on the battle for sanctions.The Study forms part of the Nordic Africa Institute's research and documentation project "National Liberation in Southern Africa: The Role of the Nordic Countries."

Disasters can strike often and with unexpected fury, resulting in devastating consequences for local populations that are insufficiently prepared and largely dependent upon foreign aid in the wake of such catastrophes. International law can play a significant role in the recovery after inevitable natural disasters; however, without clear legal frameworks, aid may be stopped, delayed, or even hijacked placing the intended suffering recipients in critical condition. This edited volume brings together experts, emerging scholars, and practitioners in the field of international disaster law from North America, Japan, New Zealand, and Australia to analyze the evolution of international disaster law as a field that encompasses new ideas about human rights, sovereignty, and technology. Chapters focus on specific natural disasters like Hurricane Katrina, Cyclone Nargis, and Typhoon Hainan in addition to volcanic and earthquake activity, wildfires, and desertification. This book begins a dialogue on the profound implications of the evolution of international law as a tool for disaster response."

A Wall Street Journal best book of the year "What made this episode in our collective history possible was not so much the lies we told one another, but the lies we told ourselves." A recent Brown University graduate, Michael Soussan was elated when he landed a position as a program coordinator for the United Nations' Iraq Program. Little did he know that he would end up a whistleblower in what PBS NewsHour described as the "largest financial scandal in UN history." Breaking a conspiracy of silence that had prevailed for years, Soussan sparked an unprecedented corruption probe into the Oil-for-Food program that exposed a worldwide system of bribes, kickbacks, and blackmail involving ruthless power-players from around the globe. At the crossroads of pressing humanitarian concerns, crisis diplomacy, and multibillion-dollar business interests, Soussan's story highlights core flaws of our international system and exposes the frightening, corrupting power of the black elixir that fuels our world's economy.

On May 5, 2007, two days into his twenty-seventh trip to the Boundary Waters, Stephen Posniak found a perfect spot on Ham Lake and set about making a campfire. Over the next two weeks, the fire he set would consume 75,000 acres of forest and 144 build

This is the first comprehensive study of the turbulent relationship among state, society, and church in the making of the modern German welfare system during the Weimar Republic. Young-Sun Hong examines the competing conceptions of poverty, citizenship, family, and authority held by the state bureaucracy, socialists, bourgeois feminists, and the major religious and humanitarian welfare organizations. She shows how these conceptions reflected and generated bitter conflict in German society. And she argues that this conflict undermined parliamentary government within the welfare sector in a way that paralleled the crisis of the entire Weimar political system and created a situation in which the Nazi critique of republican "welfare" could acquire broad political resonance.

The book begins by tracing the transformation of Germany's traditional, disciplinary poor-relief programs into a modern, bureaucratized and professionalized social welfare system. It then shows how, in the second half of the republic, attempts by both public and voluntary welfare organizations to reduce social insecurity by rationalizing working-class family life and reproduction alienated welfare reformers and recipients alike from both the welfare system and the Republic itself. Hong concludes that, in the welfare sector, the most direct continuity between the republican welfare system and the social policies of Nazi Germany is to be found not in the pathologies of progressive social engineering, but rather in the rejection of the moral and political foundations of the republican welfare system by eugenic welfare reformers and their Nazi supporters.

Originally published in 1998.

The Princeton Legacy Library uses the latest print-on-demand technology to again make available previously out-of-print books from the distinguished backlist of Princeton University Press. These paperback editions preserve the original texts of these important books while presenting them in durable paperback editions. The goal of the Princeton Legacy Library is to vastly increase access to the rich scholarly heritage found in the thousands of books published by Princeton University Press since its founding in 1905.

From Rwanda to Bosnia-Herzegovina to Kosovo and beyond, devastating human tragedies have torn apart communities -- and too often, the international response has been ineffective. Here now is a wealth of pragmatic information on how the international community can help these regions rebuild their communities.

The question of the effectiveness or counter-productivity of foreign aid is one of the great issues facing the world today. This volume arose from a study conducted for an inter-governmental task force. The team surveyed the published literature, reviewed existing evaluations of aid projects, and undertook seven detailed country studies. The basic finding is that the majority of aid succeeds in terms of its own objectives and obtains a reasonable rate of return. At the same time, this book analyses the frequent failings of aid projects, compares these failings with other forms of private and public investment, and proposes measures for improving aid effectiveness. New to this edition: For the second edition the book has been shortened, removing mainly the more technical parts. The data in the text and tables have been brought up to date, the text has been revised, and each chapter has a new section added reviewing the areas of debate and research findings since 1986. The bibliography has also been updated. This book is intended for graduates or undergraduates studying development studies or development economics. Academics policy-makers and commentators.

An autobiographical account of forty years in the life of a British doctor working with victims of war and exile in Israel, Lebanon and the Occupied Territories. Runa Mackay shares her thoughts and views of political situations such as the Six-Day War, the birth of the Intifada, Iraq's invasion of Kuwait and the Israeli deportation of Palestinians living in disputed territories. 'Dr Runa Mackay writes with authority and verve about her forty years' service in Israel and Lebanon. Her story is medically impressive, socially moving and politically trenchant. Her faith, courage and sustained commitment to the Palestinian cause over so many years is deeply challenging.' Revd Dr Gordon Strachan Director, Church of Scotland Centre, Tiberias 1987-1989 'Having lived in Galilee, in Lebanon and in the Occupied Territories, she bears witness for Palestinians living within that trinity - in Israel's 'Green Line', in the diaspora of exile and under occupation ... The resilience, courage, generosity and warmth of a nation living under extremes of wretchedness and confronting the greatest of odds comes through in page after page of this remarkable book.' Dr Swee Chai Ang, Author of From Beirut to Jerusalem

International health and aid policies of the past two decades have had a major impact on the delivery of care in low and middle-income countries. This book argues that these policies have often failed to achieve their main aims, and have in fact contributed to restricted access to family medicine and hospital care. Presenting detailed evidence, and illustrated by case studies, this book describes how international health policies to date have largely resulted in expensive health care for the rich, and disjointed and ineffective services for the poor. As a result, large segments of the population world-wide continue to suffer from unnecessary casualties, pain and impoverishment. International Health and Aid Policies arms health professionals, researchers and policy makers with strategies that will enable them to bridge the gaps between public health, medicine and health policy in order to support robust, comprehensive and accessible health care systems in any political environment.

This book assesses the prospects of official development assistance (ODA) for poverty reduction. It analyzes the entire value chain of ODA, including provision, allocation and utilization. Within each of these components, coverage examines scope and limits of aid. The horizontal interactions between donors and recipients as well as the vertical connections to local and region-specific conditions represent the heart of this book's approach.

In The Foreign Aid Business, Kunibert Raffer and Hans Singer offer an incisive analysis of aid and development finance, examine the key issues and new trends in aid as well as proposing a series of fundamental improvements. Distinguishing clearly between 'aid' and 'help' in development finance, the authors discuss aid in the context of other North-South flows, such as trade or debt service, and describe its role and evolution during the Cold War. They address in detail issues such as food aid, the European Union's Lome co-operation, Japan's emergence as the largest donor and its specific aid philosophy, the often neglected question of South-South aid and the role of non-governmental organizations. The new trends analyzed in this book include political conditionality, the UNDP's proposal to reorient aid towards human development and the question of aid diversion to the former communist countries. The Foreign Aid Business concludes by proposing a series of innovative reforms for development aid and finance. The authors advocate major improvements which include combining emergency and development aid, the financial accountability of donors, international insolvency to stop aid bailing-out creditors and the emulation of the Marshall pla's successful self-monitoring by recipients. Combining a sophisticated analysis of current issues and trends with innovative new ideas for raising the effectiveness of development aid and finance, this substantial new book will be welcomed by academic scholars, policymakers and practitioners as a major contribution to our understanding of the foreign aid business.

Outside the Asylum is Lynne Jones's personal exploration of the evolution of humanitarian psychiatry and the changing world of international relief. Her memoir graphically describes her experiences as a practising psychiatrist in war zones and disasters around the world, from the Balkans and 'mission-accomplished' Iraq, to tsunami-affected Indonesia, post-earthquake Haiti and 'the Jungle' in Calais. The book poses and attempts to address awkward questions. What happens if the psychiatric hospital in which you have lived for ten years is bombed and all the staff run away? What is it like to see all your family killed in front of you when you are 12 years old? Is it true that almost everyone caught up in a disaster is likely to suffer from post-traumatic stress disorder? What can mental health professionals do to help? How does one stay neutral and impartial in the face of genocide? Why would a doctor support military intervention? From her training in one of Britain's last asylums, to treating traumatised soldiers in Gorazde after the Bosnian war, and learning from traditional healers in Sierra Leone, Lynne has worked with extraordinary people in extraordinary situations. But this book is not only about psychiatry. It also shines a light on humanitarian aid and all its glories and problems. She shows how ill-thought-out interventions do more harm than good and that mental well-being is deeply connected to human rights and the social and political worlds in which people live. It also reveals the courage and resilience of people who have to survive and endure some of the most frightening situations in the world.

First discovered in 1976, and long regarded as an easily manageable virus affecting isolated rural communities, Ebola rocketed to world prominence in 2014 as a deadly epidemic swept through Guinea, Sierra Leone, and Liberia in West Africa. Thousands of people died as the extraordinarily contagious disease spread rapidly from villages to urban centres. Initial quarantine responses proved often too little and too late, and the medical infrastructure of the affected countries struggled to cope. By August 2014, several months after the start of the outbreak, the WHO declared the epidemic a public health emergency and international aid teams and volunteers began to pour in. But halting the epidemic proved to be hugely challenging, not only in terms of the practicalities of dealing with the sheer numbers of patients carrying the highly infectious virus, but in dealing with social and cultural barriers. The author, Dorothy Crawford, visited Sierra Leone while the epidemic was ongoing and met with those on the frontline in the fight against the virus. In Ebola Crawford combines personal accounts from these brave medical workers with the latest scientific reports to tell the story of the epidemic as it unfolded, and how it has changed our understanding of the virus. She looks at its origin and spread, the international response, and its devastating legacy to the health of those living in the three worst affected countries. She describes the efforts to prevent international spread, the treatment options for Ebola, including the drug and vaccine trials that eventually got underway in 2015, and the sensitive issue of running trials of experimental therapies during a lethal epidemic. Our understanding of the Ebola virus continues to develop as long-term health problems and complications following recovery from the disease are being identified. Epidemics of Ebola or other dangerous microbes will continue to threaten the world regularly. Already concerns have been raised by the possible impact of the Zika virus. What lessons have been learnt from Ebola? How, asks Crawford, might we prevent a repeat of the awful suffering seen in 2014-16?